| NPI | 1689232456 |
|---|---|
| Former Name | MARY C GALLAGHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW03499) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI CSW02277) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2023-09-21 |