NPI | 1811097439 |
---|---|
Former Name | ERICA VON VILLAS LUNDRIGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 104100000X Social Worker (Licence: RI ISW01578) |
Enumeration Date | 2006-09-24 |
Last Update Date | 2019-06-06 |