| NPI | 1568965358 |
|---|---|
| Former Name | REBECCA MARGOLIS DERAUD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801080766) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801080766) |
| Enumeration Date | 2018-03-17 |
| Last Update Date | 2020-09-16 |