| NPI | 1417148149 |
|---|---|
| Former Name | ALICIA APPLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO LSW.0009920010) |
| Additional Taxonomies | 374700000X Technician |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2017-01-17 |