| NPI | 1982815429 |
|---|---|
| Former Name | MAURA MCDONOUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 075433) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075433-1) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2012-09-19 |