NPI | 1245745884 |
---|---|
Former Name | MEGAN GERBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252498) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2002096) |
Enumeration Date | 2017-12-05 |
Last Update Date | 2020-03-06 |