| NPI | 1962643064 |
|---|---|
| Former Name | MEGAN ELIZABETH THOMPSON AND MCCORMACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2006018050) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2019-08-21 |