| NPI | 1316336779 |
|---|---|
| Former Name | DENISE KAREN FREDERICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 86754) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW64732) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2018-11-19 |