NPI | 1679854566 |
---|---|
Former Name | ALICIA D HAMMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist |
Additional Taxonomies | 101Y00000X Counselor |
1041C0700X Social Worker, Clinical | |
222Q00000X Developmental Therapist (Licence: MA 219966) | |
Enumeration Date | 2011-09-06 |
Last Update Date | 2024-08-18 |