| NPI | 1720116155 |
|---|---|
| Former Name | MEGAN DENISE CLUTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52344) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2018-12-04 |