| NPI | 1871884056 |
|---|---|
| Former Name | ERIN MARIKO NEWBERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: UT 8339810-6004) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2019-02-19 |