| NPI | 1912294646 |
|---|---|
| Former Name | ERIN ELIZABETH ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801080746) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 68010803470) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2021-08-17 |