| NPI | 1750883450 |
|---|---|
| Former Name | ALYSSA POTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801082) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1600354) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2022-06-15 |