| NPI | 1225249501 |
|---|---|
| Former Name | MICHELLE DAWN NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 62655) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW 22347) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2014-08-28 |