NPI | 1811366859 |
---|---|
Former Name | MEGAN LEPIANKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149022621) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker (Licence: IL 150103658) | |
Enumeration Date | 2015-09-21 |
Last Update Date | 2021-03-10 |