| NPI | 1578841995 |
|---|---|
| Former Name | MELISSA LOUISE EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 10981) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC303357) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |