| NPI | 1902385040 |
|---|---|
| Former Name | ERICA R PHELPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2018036516) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 76323) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2021-03-11 |