NPI | 1972967636 |
---|---|
Former Name | MEGAN KLAYER ANDRES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901234) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-04-08 |
Last Update Date | 2019-07-30 |