| 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 |