NPI | 1427107085 |
---|---|
Other Name | ALICIA MARIA NEWSOME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 105011) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 24960) |
1041C0700X Social Worker, Clinical (Licence: AL 1585c) | |
Enumeration Date | 2007-01-10 |
Last Update Date | 2022-12-16 |