| NPI | 1700336492 |
|---|---|
| Former Name | MEGAN FOGARTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801119304) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801101832) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2025-04-23 |