| 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 |