| NPI | 1801187745 |
|---|---|
| Former Name | ERIN GRACE PRIDGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006447) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC006447) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2020-07-14 |