NPI | 1487756110 |
---|---|
Former Name | SANDRA MARIE WALSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS11548) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 11548) |
Enumeration Date | 2006-09-02 |
Last Update Date | 2016-01-27 |