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 |