| NPI | 1801875513 |
|---|---|
| Former Name | MELISSA DAWN WILLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 0008124) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119002497) |
| 225X00000X Occupational Therapist (Licence: CO OT.0008124) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2025-06-27 |