| NPI | 1619380565 |
|---|---|
| Former Name | ERICA LEA EVERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61405149) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH12473) |
| 101YM0800X Counselor, Mental Health (Licence: NV CPC0219) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2025-05-15 |