| NPI | 1164807046 |
|---|---|
| Other Name | MEG ELLENBAUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW019412) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW129575) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2023-05-18 |