| NPI | 1720431026 |
|---|---|
| Former Name | MEGHAN LUSSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009748) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.010419) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2021-04-13 |