NPI | 1003983479 |
---|---|
Former Name | ERICA SANDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2006-11-29 |
Last Update Date | 2016-09-16 |