NPI | 1376126714 |
---|---|
Former Name | MEGAN CORRINE HATCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA LH616509940) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2021014953) |
Enumeration Date | 2021-05-04 |
Last Update Date | 2025-05-14 |