| NPI | 1780771758 |
|---|---|
| Former Name | MELISSA SUZANNEMARIA WATTENBERG-ULARICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 6346) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2007-07-09 |