NPI | 1972782381 |
---|---|
Former Name | MEGAN CONDIT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L12495) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 64707) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2007-11-01 |
Last Update Date | 2021-09-20 |