| 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 |