| NPI | 1073235321 |
|---|---|
| Former Name | ELIZABETH M. REGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 128672) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 226849) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2025-01-15 |