| NPI | 1457503435 |
|---|---|
| Former Name | MEGHAN FORTNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH E.0500277) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2019-01-21 |