| NPI | 1154668382 |
|---|---|
| Former Name | MICHELLE IVY GREENSPOON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5501) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2024-12-09 |