| NPI | 1871025528 |
|---|---|
| Former Name | MELISSA FUGAZZI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY60953182) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60953182) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2023-04-03 |