NPI | 1841691052 |
---|---|
Former Name | ERIN BEARDSLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 9103) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0019847) |
101YP2500X Counselor, Professional (Licence: FL TPMC3764) | |
101YP2500X Counselor, Professional (Licence: VT 068.0135491TELE) | |
Enumeration Date | 2014-09-07 |
Last Update Date | 2023-10-28 |