| 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 |