| NPI | 1508182403 |
|---|---|
| Former Name | ALISHA BATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0602251) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2122) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2017-04-07 |