| NPI | 1528780293 |
|---|---|
| Former Name | MEGAN ROSHTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 8652) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2023-01-05 |