| NPI | 1952619900 |
|---|---|
| Former Name | MICHELLE DENISE MORAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY28340) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2024-10-16 |