NPI | 1598148017 |
---|---|
Former Name | MELISSA CYPERSKI MURPHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P3476) |
Additional Taxonomies | 103T00000X Psychologist (Licence: TN 3476) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TN 3476) | |
Enumeration Date | 2015-07-01 |
Last Update Date | 2022-03-29 |