NPI | 1730405697 |
---|---|
Former Name | ERICA DAWN MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2010-04-15 |
Last Update Date | 2016-07-19 |