NPI | 1164846176 |
---|---|
Former Name | MEGAN ELIZABETH SCHEIBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301015971) |
Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: MI 6301015971) |
103TC0700X Psychologist, Clinical (Licence: IL 071.008762) | |
Enumeration Date | 2014-02-11 |
Last Update Date | 2019-10-24 |