| NPI | 1407021728 |
|---|---|
| Former Name | ANI MICHELLE BARSOUMIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH 9220) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 9319) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2023-03-03 |