| NPI | 1588080238 | 
|---|---|
| Former Name | ALISHA ANNETTE CLAYTON | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60668566)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60145230)  | 
| Enumeration Date | 2014-03-05 | 
| Last Update Date | 2022-05-17 |