| NPI | 1467990275 |
|---|---|
| Former Name | MEGAN E SIMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-23272) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2024-01-09 |