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 |