| NPI | 1083350128 |
|---|---|
| Former Name | MEGAN PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: ID 42169) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: ID 42169) |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2023-06-19 |