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 |