| NPI | 1730405697 |
|---|---|
| Former Name | ERICA DAWN MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: OK 437629) |
| Additional Taxonomies | 101Y00000X Counselor |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2024-06-04 |