| NPI | 1407867609 |
|---|---|
| Former Name | ALYCE KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NM LMHC: 0077181) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD: 87-91) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2012-10-25 |