NPI | 1407314933 |
---|---|
Former Name | MEREDITH LYNNE BARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2060) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 2060) |
Enumeration Date | 2019-03-04 |
Last Update Date | 2021-08-27 |