| NPI | 1336667351 | 
|---|---|
| Former Name | LEAH MARIE CONDE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 97147) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: HI 119218401) | 
| Enumeration Date | 2017-08-30 | 
| Last Update Date | 2020-10-15 |