NPI | 1730336157 |
---|---|
Other Name | ALYSSA BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY25784) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: CA rps2012011) | |
103TC0700X Psychologist, Clinical (Licence: CA 2012072) | |
Enumeration Date | 2008-08-27 |
Last Update Date | 2016-12-27 |