| NPI | 1841563913 |
|---|---|
| Former Name | MELISSA MORTENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP10177) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA7621) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2023-03-02 |