| NPI | 1023354305 | 
|---|---|
| Former Name | ERIN ELIZABETH CARROLL | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 9636)  | 
| Additional Taxonomies | 101Y00000X Counselor | 
| Enumeration Date | 2012-12-14 | 
| Last Update Date | 2020-05-06 |