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 |