| NPI | 1316661424 |
|---|---|
| Former Name | ALICIA RYALS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69424) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16124) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2024-08-03 |