NPI | 1407908510 |
---|---|
Former Name | MEGAN ASHLEY BRESSETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS26428) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114091) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2022-02-11 |