| NPI | 1770722852 |
|---|---|
| Former Name | ERIN THREATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00943262) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1800876) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2018-05-08 |