| NPI | 1659074250 |
|---|---|
| Former Name | ALYSSA MARIE GILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 12093) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 3345) |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2024-10-21 |