NPI | 1861695736 |
---|---|
Former Name | MICHELLE LIMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23888) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSB#32972) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSB# 33649) | |
Enumeration Date | 2007-06-07 |
Last Update Date | 2020-03-03 |