| NPI | 1801114434 |
|---|---|
| Former Name | MEGAN IRENE GOMEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102374) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2023-10-30 |