| NPI | 1932645314 |
|---|---|
| Former Name | MEGAN CROLLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2015035778) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2019005804) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.026385) | |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2025-04-24 |