| 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 |