| NPI | 1740659903 |
|---|---|
| Former Name | ALICIA M GROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2015040561) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2015040561) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2023-12-11 |