| NPI | 1487967535 |
|---|---|
| Former Name | THERESE FITZPATRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN78288) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |