| 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 | 2023-02-07 |