NPI | 1073757704 |
---|---|
Former Name | ERICA B NEWMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 2012990) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2009-04-24 |
Last Update Date | 2021-09-20 |