| NPI | 1922689603 |
|---|---|
| Former Name | MELANIE JEAN FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 103TF0000X Psychologist Family |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-04-15 |