NPI | 1972831824 |
---|---|
Former Name | MEGAN KATRINA PITSIOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA ASW 31654) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW31654) |
Enumeration Date | 2009-12-03 |
Last Update Date | 2019-05-10 |