| NPI | 1205158136 |
|---|---|
| Former Name | ERICA LEIGH PETTINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MA 8850) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2016-02-12 |