| NPI | 1144767443 |
|---|---|
| Former Name | ERICA JEAN JOHANSSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R049136-1) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 629894051) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |