NPI | 1467647131 |
---|---|
Former Name | ALISA MARIE REED SOLOMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R078727-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC11151) |
Enumeration Date | 2007-09-06 |
Last Update Date | 2021-11-29 |