NPI | 1184135840 |
---|---|
Former Name | MICHELLE LYNN CRANKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117856) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
106H00000X Marriage & Family Therapist (Licence: CA 98275) | |
Enumeration Date | 2017-10-20 |
Last Update Date | 2023-07-03 |