| NPI | 1366642068 |
|---|---|
| Former Name | MICHELLE MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 81278) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 28796) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2019-05-02 |