| NPI | 1891398913 |
|---|---|
| Former Name | MEGAN ELIZABETH TARBOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14646) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 100597) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2024-04-18 |