| NPI | 1992022396 |
|---|---|
| Former Name | MELISSA MARIE LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-15-18385) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2018-03-17 |