NPI | 1952026288 |
---|---|
Former Name | MEGAN ELAINE DEARTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH rn.464960) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2022-10-10 |
Last Update Date | 2023-02-03 |