| NPI | 1598963977 |
|---|---|
| Former Name | MELISSA RAE WALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2025-03-03 |