NPI | 1124454384 |
---|---|
Former Name | MEGHAN ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0020725) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000417) |
Enumeration Date | 2013-09-19 |
Last Update Date | 2024-07-24 |