NPI | 1912410671 |
---|---|
Former Name | ERICKA BRUECHERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06396) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 21204) |
Enumeration Date | 2017-11-15 |
Last Update Date | 2024-09-20 |