NPI | 1770040875 |
---|---|
Former Name | ERICA ANN WARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18159) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-02-25 |
Last Update Date | 2021-05-12 |