NPI | 1083904700 |
---|---|
Former Name | AMY ERICKSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: FL SW11248) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2011-04-14 |
Last Update Date | 2018-12-26 |