| NPI | 1891119087 |
|---|---|
| Former Name | MEGAN PERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY P124022) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2023-08-16 |