| NPI | 1104026327 |
|---|---|
| Former Name | MARY G ROGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: NY 539776041) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069733) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2012-01-23 |