| NPI | 1790564490 |
|---|---|
| Former Name | MEGAN BOLGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06549200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 099941) |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2025-10-09 |