NPI | 1093964561 |
---|---|
Former Name | MICHELLE MARIE CANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60655194) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY26203) |
Enumeration Date | 2008-09-09 |
Last Update Date | 2019-03-08 |