| NPI | 1902575376 |
|---|---|
| Former Name | ERIC GENTRY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW132655) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2026-07-02 |