| NPI | 1093397762 |
|---|---|
| Former Name | MEGAN LAURENE COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 134835) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 000226745) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2024-11-26 |