| NPI | 1629299953 |
|---|---|
| Professional Name | MICHELLE SAMUEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6301012583) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MI 6301012583) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2012-10-05 |