| NPI | 1427539840 |
|---|---|
| Former Name | MEGAN ERIIKA BERGSTEDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9398-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 26413) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2021-10-18 |