| 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 |