| NPI | 1649782574 |
|---|---|
| Former Name | ALICIA ANN HOLDORF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1556) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4490) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2023-12-23 |