| NPI | 1649283532 |
|---|---|
| Former Name | ALICIA JANETTE HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-15849) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 113613) |
| 1041C0700X Social Worker Clinical (Licence: TX 51367) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2017-04-23 |