NPI | 1902375462 |
---|---|
Former Name | ERIKA HOAGLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3450) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY LPC-1958) |
101YM0800X Counselor, Mental Health (Licence: NE 11668) | |
Enumeration Date | 2018-11-14 |
Last Update Date | 2024-04-03 |