NPI | 1427696509 |
---|---|
Former Name | MEGAN DAWES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 16805) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 7421) |
Enumeration Date | 2019-12-19 |
Last Update Date | 2024-08-05 |