| NPI | 1225380538 |
|---|---|
| Former Name | ERIN E NICKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS01231) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 9736) |
| 1041C0700X Social Worker, Clinical (Licence: TX 37486) | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW015667) | |
| 103T00000X Psychologist (Licence: TX 36414) | |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2014-08-15 |