| NPI | 1255716452 |
|---|---|
| Former Name | MICHELLE RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101910) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 66841) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2022-05-24 |