NPI | 1972034163 |
---|---|
Former Name | MEGAN NICHOLE PARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 172098) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 251496) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2019-10-24 |