| NPI | 1841702743 |
|---|---|
| Former Name | MICHELLE TABIGUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 4908) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 4908) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |