| NPI | 1578994976 |
|---|---|
| Former Name | MICHELLE A LEROY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3802) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: MN LP5782) | |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2024-01-30 |