NPI | 1396132064 |
---|---|
Former Name | MEGAN ELIZABETH WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC013935) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC8027) |
Enumeration Date | 2015-04-21 |
Last Update Date | 2023-08-17 |