NPI | 1083017065 |
---|---|
Former Name | ALYSSA LIZZI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149019098) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-10-03 |
Last Update Date | 2019-11-16 |