| NPI | 1457936064 |
|---|---|
| Former Name | ALYSSA CALDWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2022-08-09 |