| NPI | 1891133427 |
|---|---|
| Former Name | MEAGAN TEDESCHI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009515) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3379) |
| 101Y00000X Counselor (Licence: NC 2891) | |
| 101YM0800X Counselor, Mental Health (Licence: NC c009515) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2016-01-21 |