| NPI | 1477998334 |
|---|---|
| Former Name | ALINE BETHEA TALMAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017796) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2018-03-17 |