| NPI | 1679116552 |
|---|---|
| Former Name | RACHEL FALK LOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.024056) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801105825) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2021-12-01 |