| NPI | 1588276406 |
|---|---|
| Former Name | MEREDITH SELWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149017343) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: IL 1890252) |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2022-08-19 |