| NPI | 1972226595 |
|---|---|
| Former Name | MADELYNE CRAWFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 18082) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A18082) |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2025-07-23 |