NPI | 1093156671 |
---|---|
Former Name | MICHELLE LU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: CA 5686) | |
101YP2500X Counselor, Professional (Licence: CA 5686) | |
Enumeration Date | 2013-07-11 |
Last Update Date | 2018-12-11 |