| NPI | 1013367804 |
|---|---|
| Former Name | ERICKA RENEE BASSETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2015030521) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2015030521) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2020-03-04 |