| NPI | 1326128794 |
|---|---|
| Former Name | DIANA MARIA GONZALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 075689) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 068390-1) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2018-02-22 |