| NPI | 1366905895 |
|---|---|
| Former Name | ALECIA BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KS 8139) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 1643) |
| 104100000X Social Worker (Licence: KS 12116-T) | |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2021-08-09 |