NPI | 1194280875 |
---|---|
Former Name | ERICA LEIGH PERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC010569) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-38011) |
Enumeration Date | 2019-02-06 |
Last Update Date | 2022-09-12 |