NPI | 1518439983 |
---|---|
Former Name | MEGAN MARIE GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC6453) |
Enumeration Date | 2018-12-26 |
Last Update Date | 2021-09-05 |