| NPI | 1669807095 |
|---|---|
| Former Name | MARISSA ERRICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4866) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2024-02-02 |