| NPI | 1285737114 |
|---|---|
| Former Name | SUSAN BORGMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8404) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 1323) |
| 1041C0700X Social Worker, Clinical (Licence: NC C005432) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2023-03-08 |