NPI | 1770877425 |
---|---|
Professional Name | MARLA FERGUSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017002) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2011013774) |
Enumeration Date | 2011-05-29 |
Last Update Date | 2024-02-09 |