| NPI | 1275050239 |
|---|---|
| Former Name | ALYCE SEBRING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0000644) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0014551) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2022-07-21 |