NPI | 1114335031 |
---|---|
Former Name | MEGHAN GABRIEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924935) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081303-1) |
Enumeration Date | 2014-07-23 |
Last Update Date | 2024-11-13 |