NPI | 1427160027 |
---|---|
Former Name | MICHELE MARIE HENRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH 2583) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2009-03-26 |