NPI | 1043237993 |
---|---|
Former Name | MEGHAN C CAMPBELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: KY 0107) |
Additional Taxonomies | 103T00000X Psychologist (Licence: KY 0852) |
Enumeration Date | 2006-07-16 |
Last Update Date | 2019-04-26 |