| NPI | 1295804383 |
|---|---|
| Former Name | ROSE M BLUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR00186101) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY PR00186101) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2009-07-01 |