NPI | 1780108258 |
---|---|
Former Name | MEGAN C LATOUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OH I.2103020) |
Additional Taxonomies | 104100000X Social Worker (Licence: ME MC16763) |
1041C0700X Social Worker, Clinical (Licence: ME LC18120) | |
Enumeration Date | 2017-07-27 |
Last Update Date | 2021-09-15 |