| NPI | 1982013744 |
|---|---|
| Former Name | MEGAN LYTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 68-020511) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 20511) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2023-07-06 |