NPI | 1881183911 |
---|---|
Former Name | ERICA LYNN ZIMMERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925657) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CO 0-21-12239) |
Enumeration Date | 2018-05-03 |
Last Update Date | 2022-01-02 |