| NPI | 1124436530 |
|---|---|
| Former Name | ALICIA KAUFFMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: TX 38772) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2021-10-12 |