| NPI | 1710541180 |
|---|---|
| Former Name | ALICIA DAWN GRIFFITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101Y00000X Counselor | |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |