NPI | 1710078555 |
---|---|
Former Name | MELODY E EDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042895A) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20042895A) |
103TC1900X Psychologist, Counseling (Licence: IN 20042895A) | |
103TH0100X Psychologist, Health Service (Licence: IN 20042895A) | |
Enumeration Date | 2006-09-27 |
Last Update Date | 2023-09-11 |