NPI | 1093380750 |
---|---|
Former Name | MEGAN SMEAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2305083) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2305083) |
Enumeration Date | 2021-05-25 |
Last Update Date | 2024-10-26 |