NPI | 1518263664 |
---|---|
Former Name | MELANIE SKINNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401223439) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301014438) |
Enumeration Date | 2011-02-08 |
Last Update Date | 2024-09-16 |