NPI | 1861685224 |
---|---|
Former Name | MICHELLE CHRISTINE BEBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 25020) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC0700X Psychologist, Clinical (Licence: CA 25020) | |
Enumeration Date | 2007-08-20 |
Last Update Date | 2019-03-19 |