| NPI | 1699628958 |
|---|---|
| Former Name | ALYSSA KAY WIBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH APP-001042624) |
| Enumeration Date | 2026-02-17 |
| Last Update Date | 2026-03-30 |