| NPI | 1588070973 |
|---|---|
| Former Name | ERIKA PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 02891) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 2838) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2022-02-03 |