NPI | 1457802167 |
---|---|
Former Name | ERIN NOLE OWEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 8207) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2016-10-18 |
Last Update Date | 2025-07-14 |