NPI | 1982122172 |
---|---|
Former Name | MEGAN WELESKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc02319) |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2017-09-07 |
Last Update Date | 2020-01-03 |