| NPI | 1316397862 |
|---|---|
| Former Name | SALLY A PASTOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0873171) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 85817) |
| 101YM0800X Counselor, Mental Health (Licence: NY 085817) | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2018-09-18 |