| NPI | 1568050789 |
|---|---|
| Former Name | MEGHAN ELISE GOTTUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008271) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 12214) |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2023-12-13 |