| NPI | 1689015133 |
|---|---|
| Former Name | NICOLE MICHELLE MC CRAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT96862) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF70175) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2017-02-15 |