| NPI | 1609176643 |
|---|---|
| Former Name | MELANIE CRUMBIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 2996) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CT 2995) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2013-11-11 |