| NPI | 1518115849 | 
|---|---|
| Former Name | MELODY ELLEN KEELER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC86670) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 65644) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-08-28 | 
| Last Update Date | 2024-02-08 |