| NPI | 1194525006 |
|---|---|
| Former Name | ALICIA ANN WIGGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008632) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC SW17139CP) |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-18 |