| NPI | 1679917330 |
|---|---|
| Former Name | ALICIA MICHELLE MOTTRAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2024-05-29 |