| NPI | 1689398661 |
|---|---|
| Former Name | MEGAN FALLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103T00000X Psychologist | |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2025-10-27 |