| NPI | 1669003190 |
|---|---|
| Former Name | MEAGAN SANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180014394) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2022-05-02 |