NPI | 1396007969 |
---|---|
Former Name | ERIN MELISSA STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006796) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1204030) |
Enumeration Date | 2012-06-11 |
Last Update Date | 2016-10-17 |