| NPI | 1558145896 |
|---|---|
| Former Name | ALYSSA BAILEY STAYNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2024-08-08 |