| NPI | 1881206142 |
|---|---|
| Former Name | ROZELLA MARIE ERICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OK 131812) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-12-17 |