NPI | 1558767137 |
---|---|
Former Name | MEGAN CHRISTINE GEHRLICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC21433) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health (Licence: AZ LPC21433) | |
Enumeration Date | 2014-11-10 |
Last Update Date | 2024-08-01 |