| NPI | 1306359369 |
|---|---|
| Former Name | ALYSSA NICOLE GONZALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2023-0015) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-18-085) |
| 104100000X Social Worker (Licence: OR M7536) | |
| 1041S0200X Social Worker, School (Licence: NM M-10102) | |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2023-01-17 |