| NPI | 1124454384 |
|---|---|
| Former Name | MEGHAN ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000417) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2019-05-31 |