| NPI | 1407959372 |
|---|---|
| Former Name | ERICA D JENKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 02-3P) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: AR 02-3P) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2022-07-21 |