| NPI | 1831701341 |
|---|---|
| Former Name | MEGHAN JANE HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-19-92413) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2025-03-27 |