| 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 |