| NPI | 1912426297 |
|---|---|
| Former Name | MEGAN ANN SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13327) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2024-01-16 |