NPI | 1538471974 |
---|---|
Former Name | MELISSA ANN BRANDOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201578) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 781480) |
Enumeration Date | 2010-07-13 |
Last Update Date | 2010-07-13 |