NPI | 1801374509 |
---|---|
Former Name | ERIN ELIZABETH MOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09927041) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2018-08-03 |
Last Update Date | 2023-08-14 |