| NPI | 1518246107 |
|---|---|
| Former Name | STACI DEANNA DANIELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 89476) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801093264) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2020-01-31 |