| NPI | 1649923624 |
|---|---|
| Former Name | MEGAN MCGAVOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61064967) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 61064967) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2023-10-03 |