| NPI | 1366501389 |
|---|---|
| Former Name | SUSAN FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114566) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 213231) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2012-04-12 |