NPI | 1225432818 |
---|---|
Former Name | MEGHAN ELISABETH DRIESBACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 6868) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9986) |
Enumeration Date | 2014-10-10 |
Last Update Date | 2023-10-23 |