| 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 |