NPI | 1902340185 |
---|---|
Former Name | MEGAN DEMO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09925637) |
Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009920657) |
Enumeration Date | 2016-12-07 |
Last Update Date | 2022-03-10 |