NPI | 1700134038 |
---|---|
Former Name | ERIN RAE BURCHYETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801090638) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801090638) |
Enumeration Date | 2012-08-16 |
Last Update Date | 2022-08-05 |