NPI | 1881135986 |
---|---|
Former Name | MEGAN WOLENSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS019012) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-03-09 |
Last Update Date | 2020-03-31 |