| NPI | 1730540014 |
|---|---|
| Former Name | MEGAN A TUCKER |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: RI PS01864) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MA 10739) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2024-11-11 |