| NPI | 1609265958 |
|---|---|
| Former Name | CATHY IRENE FITZGERALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4725) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2002007819) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |