NPI | 1235565060 |
---|---|
Former Name | ERIN KERN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P1702241) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 68743) |
Enumeration Date | 2013-09-25 |
Last Update Date | 2018-01-01 |