NPI | 1457439671 |
---|---|
Former Name | MEGAN MCDOUGALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 25784) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT 25784) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2019-06-25 |