| NPI | 1003382417 | 
|---|---|
| Former Name | CARLI CAPESTANY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801112336) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW021324) | 
| Enumeration Date | 2018-10-23 | 
| Last Update Date | 2022-01-12 |