| NPI | 1083774855 |
|---|---|
| Former Name | KATHERYN JOANNA POTENZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 073947) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 077296) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2014-01-20 |