| NPI | 1396210662 |
|---|---|
| Former Name | MEAGAN A BARTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60775656) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2021-02-22 |