| NPI | 1972994051 |
|---|---|
| Former Name | MEGAN KOONTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60536402) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO60528607) |
| 101Y00000X Counselor (Licence: WA MC60536402) | |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2016-03-04 |