| NPI | 1881168268 |
|---|---|
| Former Name | MEGAN CHURCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2023-01-27 |