| NPI | 1194886663 |
|---|---|
| Former Name | MICHELLE M. SERWAT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WA PY00001933) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY00001933) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2018-01-23 |