| NPI | 1093865222 |
|---|---|
| Former Name | ALLISON LEIGH STAULCUP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW24309) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 12646) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2018-07-16 |