| NPI | 1992032593 |
|---|---|
| Former Name | MICHELLE PRIZEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 078022) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 076326) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2012-11-27 |