NPI | 1083786149 |
---|---|
Former Name | SUZANNE MARIE O'REGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA SW1018829) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1018829) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2023-11-24 |