| NPI | 1104394675 |
|---|---|
| Former Name | MEGHAN NORA CARROLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD SC2337) |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |