NPI | 1972868024 |
---|---|
Former Name | MEGAN BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 75179) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-07-05 |
Last Update Date | 2023-10-06 |