| NPI | 1972149094 |
|---|---|
| Former Name | ERIKA GRUSSENDORF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-10904) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 115862) |
| Enumeration Date | 2019-11-24 |
| Last Update Date | 2026-06-08 |