| NPI | 1497033328 |
|---|---|
| Former Name | ALICIA M COULTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083748) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2023-09-08 |