| NPI | 1861192254 |
|---|---|
| Former Name | ERIN KATHLEEN SICILIANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 37PC00926900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00926900) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2024-09-08 |