| NPI | 1598078248 |
|---|---|
| Former Name | ERICA LYNN JENERAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MA 8600) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2018-04-19 |