| NPI | 1063709806 |
|---|---|
| Former Name | TEGAN MALLARY WALSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 120986) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 221026) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2018-01-30 |