| NPI | 1144779174 |
|---|---|
| Former Name | MEREDITH GRAUSAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003178A) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2023-09-16 |