| NPI | 1154956365 |
|---|---|
| Former Name | MEGHAN STODDARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC3973) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |