| NPI | 1740632470 |
|---|---|
| Former Name | MEGAN BOLLINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 10063) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 10063) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2024-11-12 |