NPI | 1265703565 |
---|---|
Former Name | MEGHAN D MCINTOSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11238) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH11238) |
Enumeration Date | 2012-01-18 |
Last Update Date | 2019-07-16 |