| NPI | 1376380345 |
|---|---|
| Former Name | MEAGHAN MELISSA MCCOLLOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2024025700) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 7401002197) |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-09 |