| NPI | 1386183465 |
|---|---|
| Former Name | ALICIA LEE PIETRZAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 25-QMHP-R-3954) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR QMHPRVariance) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2025-10-28 |