| NPI | 1538273248 |
|---|---|
| Former Name | MELISSA MAE BATESON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 00328) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1523) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |