NPI | 1730378837 |
---|---|
Former Name | MEGHAN LEIGH HASSELBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006265) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2007-10-15 |
Last Update Date | 2013-05-23 |