| NPI | 1699274456 |
|---|---|
| Former Name | MEAGAN JOHANNAH SHIDELER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2022-07-12 |