NPI | 1821484551 |
---|---|
Former Name | ERICA WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801088228) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801088228) |
Enumeration Date | 2015-04-09 |
Last Update Date | 2020-06-20 |