| NPI | 1780085605 |
|---|---|
| Former Name | THERESA NICOLE RICHIR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090488) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 092333) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2022-03-10 |