NPI | 1881704708 |
---|---|
Former Name | MICHELLE L FLIGGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 0.71006469) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 2778-57) |
103TC0700X Psychologist, Clinical (Licence: IL 071-006469) | |
103TC0700X Psychologist, Clinical (Licence: AZ 4245) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2018-09-25 |