NPI | 1407178668 |
---|---|
Former Name | ERICA ANNE LESAGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH20372) |
Additional Taxonomies | 101Y00000X Counselor (Licence: SD LPC20224) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2010-02-15 |
Last Update Date | 2024-01-22 |