| NPI | 1942901640 |
|---|---|
| Former Name | MEREDITH WEBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.025328) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 37517) |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-03-10 |