| NPI | 1932088267 |
|---|---|
| Former Name | MEGAN MARIE BURNHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1621560725) |
| Enumeration Date | 2025-08-30 |
| Last Update Date | 2025-08-30 |