| NPI | 1841202413 | 
|---|---|
| Former Name | EE'A ANDERSON | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-08-12 | 
| Last Update Date | 2010-04-28 |