| NPI | 1427358977 |
|---|---|
| Former Name | MEREDITH GORDON MACY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1616) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 9211) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2016-12-12 |