NPI | 1962882712 |
---|---|
Former Name | ERIN MAGGARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA Pending) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2015-06-08 |
Last Update Date | 2019-11-11 |