| NPI | 1417527631 |
|---|---|
| Former Name | ALANA BURKETH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: CO 24370967) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: FL 1388980) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-06-29 |