NPI | 1932385465 |
---|---|
Former Name | MEGAN SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 999) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2008-01-15 |
Last Update Date | 2018-08-15 |