| NPI | 1366805244 |
|---|---|
| Former Name | MICHELLE K CAVAGNARO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: CT 10390) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2019-01-28 |