NPI | 1396865184 |
---|---|
Former Name | MEGAN LOUISE CASTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1220) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 1220) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2015-07-16 |