| NPI | 1124775507 |
|---|---|
| Former Name | MEGEN R BUKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH30658) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2024-09-24 |