| NPI | 1932543162 |
|---|---|
| Former Name | TALYA KIM LAZAROW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 24084) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS25299) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2022-02-11 |