| NPI | 1588172241 |
|---|---|
| Former Name | MEGAN BLISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093021) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 091788) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2022-03-11 |