NPI | 1861573941 |
---|---|
Former Name | MELANIE MISHKIN LELAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA Psy 10354) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA Psy 10354) |
103TC0700X Psychologist, Clinical (Licence: CA PSY10354) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA Psy 10354) | |
Enumeration Date | 2006-10-17 |
Last Update Date | 2021-06-07 |