NPI | 1023670759 |
---|---|
Former Name | ALISHA SCOVILLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34010125A) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
104100000X Social Worker (Licence: IN 33008411A) | |
Enumeration Date | 2019-07-02 |
Last Update Date | 2024-11-20 |