NPI | 1912322744 |
---|---|
Former Name | MEGAN COBURN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00556800) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-03-03 |
Last Update Date | 2024-01-08 |