| NPI | 1992442487 |
|---|---|
| Former Name | MICHELLE LEGRAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC01124100) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00621100) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2025-03-14 |