| NPI | 1003432949 |
|---|---|
| Former Name | MICHELLE J LANKFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011536) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0904011536) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2023-10-03 |