| NPI | 1821571803 |
|---|---|
| Former Name | ERICA TANNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY P13257) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 024358) |
| 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00669600) | |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2023-01-31 |