| NPI | 1659629517 |
|---|---|
| Former Name | MEAGEN ELIZABETH DIANA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002612) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 1001) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2023-11-09 |