NPI | 1477848083 |
---|---|
Former Name | MICHELLE MARIE CRAWLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C4493) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2011-06-10 |
Last Update Date | 2024-02-27 |