| NPI | 1346421583 |
|---|---|
| Former Name | ERIN LACY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100509700) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 017925) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2014-10-20 |