NPI | 1588098404 |
---|---|
Former Name | ERIN MASON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.08470) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301018095) |
Enumeration Date | 2013-08-27 |
Last Update Date | 2024-07-23 |