| NPI | 1447850102 |
|---|---|
| Former Name | ALYSSA CORYA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN C2-5168) |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2021-09-28 |