| NPI | 1043701790 |
|---|---|
| Former Name | MEGAN MARIE GROOMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA140242) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-06-21 |