NPI | 1093967713 |
---|---|
Former Name | MEAGAN SARAH WITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8202 - 123) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.012970) |
Enumeration Date | 2008-10-13 |
Last Update Date | 2017-02-24 |