| NPI | 1629303789 |
|---|---|
| Former Name | MELISSA DERR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149026579) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 007284) |
| 104100000X Social Worker (Licence: IL 150014395) | |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2024-02-20 |