NPI | 1417504754 |
---|---|
Former Name | ALICIA LAMBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2024034314) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-08-21 |
Last Update Date | 2024-08-27 |