| NPI | 1508546276 |
|---|---|
| Former Name | MEGAN BETH WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 134368) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 134368-121) |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2024-01-08 |