NPI | 1457723975 |
---|---|
Former Name | ERIN RHONDA JACOBSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 4779) |
Additional Taxonomies | 104100000X Social Worker (Licence: SD 3436) |
Enumeration Date | 2015-10-23 |
Last Update Date | 2023-06-22 |