| NPI | 1124664917 |
|---|---|
| Former Name | ERICA UPMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109237) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801102581) |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2023-10-25 |