NPI | 1306224357 |
---|---|
Former Name | ALYSSA NORENBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2015-05-11 |
Last Update Date | 2022-07-21 |