| NPI | 1548542236 |
|---|---|
| Former Name | MEGHAN RENEE MCDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4527-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15578-132) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-12-14 |