| NPI | 1720485485 |
|---|---|
| Former Name | ALYSSON MICHELLE LOVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 6662) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT 50732) |
| 1041C0700X Social Worker, Clinical (Licence: NV 8278-C) | |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2024-04-01 |