| NPI | 1689398307 |
|---|---|
| Former Name | MELISSA ELY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2025-01-12 |