| NPI | 1902652225 |
|---|---|
| Former Name | MELISSA S BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071007261) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071007261) |
| 103TS0200X Psychologist, School (Licence: IL 071007261) | |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-04-26 |