| NPI | 1730710088 |
|---|---|
| Former Name | MICHELE DIANE CRANDELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH25067) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2025-11-20 |