| NPI | 1134678519 |
|---|---|
| Former Name | RANDI BURDICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW81649) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2018-12-04 |