| NPI | 1972856797 |
|---|---|
| Former Name | ERIN JEAN OTIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012669) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2023-08-30 |