| NPI | 1124584032 |
|---|---|
| Former Name | ALYSSA HARE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.023886) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2021-12-07 |