| NPI | 1972906402 |
|---|---|
| Former Name | ERICA THUESON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 12615) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 12615) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2025-09-12 |