| NPI | 1558832188 |
|---|---|
| Former Name | MEGAN PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801113954) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME MC17451) |
| 1041C0700X Social Worker Clinical (Licence: MI 6851106050) | |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2022-11-14 |