| NPI | 1518386291 |
|---|---|
| Former Name | ALYSSA DIMATTEO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW005014) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 1041C0700X Social Worker Clinical (Licence: UT 13730402-3501) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2024-08-07 |