| NPI | 1639365018 |
|---|---|
| Former Name | MICHELLE RENEE GROVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27521) |
| Additional Taxonomies | 101Y00000X Counselor |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2018-06-06 |