| NPI | 1730377961 |
|---|---|
| Former Name | MELISSA RUTH STEVENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071007335) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MI 6301015296) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2015-01-27 |