| NPI | 1235496613 |
|---|---|
| Former Name | MEGAN EDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC008382) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC003089) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2015-04-20 |