| NPI | 1417401910 |
|---|---|
| Former Name | MARY NGUY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 77775) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW 60330023) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2019-07-10 |