| NPI | 1427489020 |
|---|---|
| Former Name | ERIN KOCZAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002927A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 163131) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2016-09-14 |