NPI | 1790276954 |
---|---|
Former Name | ERICA RENEE ACOTANZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 4316) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV DP00945484) |
Enumeration Date | 2018-05-23 |
Last Update Date | 2023-10-14 |