| 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 |