NPI | 1184078768 |
---|---|
Former Name | MEGAN N CRASS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 9276-123) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 17444) |
Enumeration Date | 2016-04-20 |
Last Update Date | 2022-01-18 |