| NPI | 1316236326 |
|---|---|
| Former Name | ALICIA FIELDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MD 05106) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: VA 0810004365) |
| 103TC0700X Psychologist, Clinical (Licence: MD 05106) | |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810004365) | |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2023-12-28 |