| NPI | 1093847790 |
|---|---|
| Former Name | SHAMEIKA DANIELLE LOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA 004230) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW20028) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2022-08-30 |