NPI | 1902247554 |
---|---|
Former Name | ERIKA PORTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW35394) |
Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-33051) |
104100000X Social Worker (Licence: ID LMSW33051) | |
Enumeration Date | 2013-07-11 |
Last Update Date | 2025-05-07 |