| NPI | 1952692071 |
|---|---|
| Former Name | MEGAN PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17803) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2010040962) |
| Enumeration Date | 2011-04-23 |
| Last Update Date | 2020-08-13 |