| NPI | 1679865539 |
|---|---|
| Former Name | MELISSA DIDOMENICO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical (Licence: NH 1359) | |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2023-10-04 |