NPI | 1083102917 |
---|---|
Former Name | MEGAN LEIGH SMUCKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094030) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 101940) |
Enumeration Date | 2018-04-26 |
Last Update Date | 2023-08-09 |