NPI | 1508513094 |
---|---|
Former Name | ERIN MICHELLE PLEW LYLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: NM CTB-2025-0113) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-03-04 |
Last Update Date | 2025-05-13 |