NPI | 1053465203 |
---|---|
Former Name | MEGAN MARIE SCHEDLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MT 4436) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WY 774) |
103TC0700X Psychologist, Clinical (Licence: CA 30090) | |
Enumeration Date | 2007-01-23 |
Last Update Date | 2024-07-16 |