NPI | 1174213003 |
---|---|
Former Name | MEGAN LYNAE MURPHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR 24-CRM-II-0291) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 15-12-15) |
Enumeration Date | 2023-05-12 |
Last Update Date | 2024-09-14 |