NPI | 1285862219 |
---|---|
Former Name | ERICA GEBHART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02348) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 116267) |
Enumeration Date | 2009-06-29 |
Last Update Date | 2019-12-11 |