| NPI | 1619905577 |
|---|---|
| Former Name | MELISSA S MARQUART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2560) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WI 2560) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2024-05-14 |