NPI | 1730601386 |
---|---|
Former Name | ALICIA MARLIEB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15207) |
Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH15207) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH15207) | |
101YP2500X Counselor, Professional (Licence: FL MH15207) | |
Enumeration Date | 2017-07-14 |
Last Update Date | 2020-01-24 |