NPI | 1720489602 |
---|---|
Former Name | MEGHAN BACIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NY 0921821) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05841400) |
Enumeration Date | 2014-09-10 |
Last Update Date | 2014-11-24 |