| NPI | 1083184675 |
|---|---|
| Former Name | ALICIA LYNN CAASBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2022-12-14 |