| NPI | 1194740191 |
|---|---|
| Former Name | ALICE SOUTHERN RICKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301008170) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802033303) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |