| NPI | 1699176453 |
|---|---|
| Former Name | MICHELLE ELAINE BOBBETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 31959) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2023-06-18 |