| NPI | 1124393772 |
|---|---|
| Former Name | MEGAN LYONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 1184) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 9285) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2016-07-08 |