| NPI | 1730404567 |
|---|---|
| Professional Name | SUSAN MARY FAGIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106S00000X Behavior Technician | |
| 171W00000X Contractor (Licence: OR 9215) | |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2022-10-17 |