| NPI | 1790463701 |
|---|---|
| Former Name | ERIN ELIZABETH SHULL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801086689) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: MI 6801086689) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |