| NPI | 1679115794 |
|---|---|
| Former Name | HEATHER MARIE MELIA |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ PSY005888) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2024-12-26 |