NPI | 1306862966 |
---|---|
Former Name | MANDY ERWIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 0000006270) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AR 2001-C) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2018-09-14 |