NPI | 1851006761 |
---|---|
Former Name | MEGAN KRUEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11721-123) |
Additional Taxonomies | 104100000X Social Worker (Licence: WI 129206-121) |
Enumeration Date | 2023-01-16 |
Last Update Date | 2025-02-17 |