| NPI | 1861041352 |
|---|---|
| Former Name | ERICAH VILLIESSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178013752) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 12005-125) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2026-03-10 |