NPI | 1013469501 |
---|---|
Former Name | MEGAN LEEANN GILBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 171809) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 127535) |
Enumeration Date | 2016-10-31 |
Last Update Date | 2021-07-13 |