NPI | 1811398530 |
---|---|
Former Name | MEGAN YVONNE BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW107498) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2014-09-12 |
Last Update Date | 2022-12-16 |