NPI | 1962772780 |
---|---|
Former Name | ERICA MARINO-BLANCHARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PI039) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NV PI039) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NV PI039) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NV PI039) | |
225400000X Rehabilitation Practitioner | |
103TH0004X Psychologist, Health (Licence: NV PI039) | |
Enumeration Date | 2012-01-10 |
Last Update Date | 2023-10-17 |