NPI | 1386233989 |
---|---|
Former Name | MEGAN MARIE FERRIBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2020006989) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006913) |
Enumeration Date | 2021-01-18 |
Last Update Date | 2021-01-18 |