| NPI | 1356877138 |
|---|---|
| Former Name | MEGAN K MADSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34008652A) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-11-21 |