| NPI | 1134272180 |
|---|---|
| Former Name | JEANNE MARIE O'GORMAN AND JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R053069-1) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2020-05-18 |