| NPI | 1356449706 |
|---|---|
| Former Name | STACEY NUNEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0721881) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 072188) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-12-16 |