NPI | 1902304215 |
---|---|
Former Name | ERICA LEANN STREVY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34009071A) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2018-02-01 |
Last Update Date | 2023-02-15 |