| NPI | 1447649348 |
|---|---|
| Former Name | MEGAN E. MAKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 10193) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2017-04-20 |