| NPI | 1447586326 |
|---|---|
| Former Name | MEGAN COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DP00944729) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 35011) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2016-11-12 |