| NPI | 1366185266 |
|---|---|
| Former Name | MEGAN RENA MANSFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61202894) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C015007) |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2023-09-27 |