| NPI | 1508342874 |
|---|---|
| Former Name | ALISSA MILLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149022122) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2025-06-10 |