| NPI | 1801261284 |
|---|---|
| Former Name | ERICA ECKENSBERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA PRIMARY) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |