| NPI | 1811430739 |
|---|---|
| Former Name | MEGAN LEVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109184) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801102679) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2016-11-25 |
| Last Update Date | 2021-03-15 |