| NPI | 1033500863 |
|---|---|
| Former Name | MEAGAN MARSHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 11148) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2024-01-25 |