| NPI | 1265566079 |
|---|---|
| Former Name | MICHELLE DONATELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW16097) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 122477) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-07-31 |