| NPI | 1144717182 |
|---|---|
| Former Name | JASMINE ALICEA, PETON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2024-12-10 |