NPI | 1508394875 |
---|---|
Former Name | MEAGAN GREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801105566) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801101474) |
104100000X Social Worker (Licence: MI 6802089541) | |
Enumeration Date | 2017-05-31 |
Last Update Date | 2019-09-04 |