| NPI | 1679728356 |
|---|---|
| Former Name | ERIN KATHLEEN BOSTICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.006806) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2008034953) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2025-06-11 |