NPI | 1003252370 |
---|---|
Former Name | MEGHAN C. BUCKLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 9436) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2013-05-14 |
Last Update Date | 2021-06-29 |