NPI | 1780231902 |
---|---|
Former Name | MEGAN ANNE BARTHLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY10538) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY10538) |
103TC1900X Psychologist, Counseling (Licence: FL PY10538) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY10538) | |
Enumeration Date | 2019-08-22 |
Last Update Date | 2019-08-22 |