| NPI | 1932475340 |
|---|---|
| Former Name | MELISSA ROSE KILLMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801094879) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801094879) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2023-02-14 |