NPI | 1841601655 |
---|---|
Former Name | MICHELLE MARGARET TURSICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MN LP5713) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP5713) |
103TP2701X Psychologist Group Psychotherapy (Licence: MN LP5713) | |
103TB0200X Psychologist Cognitive & Behavioral (Licence: MN LP5713) | |
103TH0004X Psychologist Health (Licence: MN LP5713) | |
103TH0100X Psychologist Health Service (Licence: MN LP5713) | |
Enumeration Date | 2014-05-14 |
Last Update Date | 2020-08-05 |