| NPI | 1356594972 |
|---|---|
| Former Name | TERESA HENCKE MARGOSIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114913) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 20195) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2021-08-04 |