| NPI | 1669112264 |
|---|---|
| Former Name | MEGAN LYDIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC015403) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 1463088) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2023-10-13 |