| NPI | 1225076698 |
|---|---|
| Former Name | MICHELE LEE NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY10380) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: TX 4828) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-07-08 |