| NPI | 1265790828 |
|---|---|
| Former Name | MEGAN GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI 332) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2018-03-17 |