| NPI | 1811127251 |
|---|---|
| Former Name | MICHELLE LEA THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2659057) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071004708) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-07-20 |