| NPI | 1841498201 |
|---|---|
| Former Name | MICHELLE YVONNE GANGITANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS25338) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 17134) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2023-06-16 |