| NPI | 1699920223 |
|---|---|
| Former Name | ALICIA MICHELLE DELVALLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05381400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 14444) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2023-10-23 |