NPI | 1093259566 |
---|---|
Former Name | MEGHAN ALEXIS POLLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2404930) |
Enumeration Date | 2016-12-18 |
Last Update Date | 2025-02-06 |