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 |