NPI | 1417262544 |
---|---|
Former Name | MEGAN R LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 64995) |
Enumeration Date | 2010-08-12 |
Last Update Date | 2022-06-27 |