| NPI | 1376741496 |
|---|---|
| Former Name | MICHELE A RODGAARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 16185) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW 3457) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2009-03-19 |