| NPI | 1619380565 |
|---|---|
| Former Name | ERICA LEA EVERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CPC0219) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH12473) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2024-11-08 |