NPI | 1992023964 |
---|---|
Former Name | ALLISON LEIGH MICHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NE 845) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4139) |
Enumeration Date | 2010-05-14 |
Last Update Date | 2013-12-11 |