NPI | 1588928568 |
---|---|
Former Name | ERIKA NICOLE MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0173531) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NM 0173531) |
101YM0800X Counselor, Mental Health (Licence: NM 0173531) | |
Enumeration Date | 2012-06-25 |
Last Update Date | 2020-08-28 |