| NPI | 1942729025 |
|---|---|
| Former Name | KELLY J ERICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 9211-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 130696121) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2019-05-29 |