| NPI | 1497141451 |
|---|---|
| Former Name | ERYN WISSENBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2019-06-06 |