NPI | 1609313600 |
---|---|
Former Name | MEGAN SUZANNE ENGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122007) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF90365) |
Enumeration Date | 2017-01-27 |
Last Update Date | 2024-07-23 |