| NPI | 1447982905 |
|---|---|
| Professional Name | MICHELLE POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL MH18931) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-06-24 |