| NPI | 1093312597 |
|---|---|
| Former Name | MEGAN RACHAEL COOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6851114111) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6803087237) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2022-02-24 |