| NPI | 1023131935 |
|---|---|
| Former Name | MICHELLE D KANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI 986) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 8720) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2021-09-21 |