| NPI | 1689224503 |
|---|---|
| Former Name | MELISA ROSE OBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0005533) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NLC0103600) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2023-01-20 |