| NPI | 1306124276 |
|---|---|
| Former Name | ALYSSA C. PELHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C7809) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU60324012) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2023-12-07 |