| NPI | 1265900526 |
|---|---|
| Former Name | RELANI MICHELLE PRUDHOMME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095815) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 065968) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2023-09-06 |