NPI | 1801451927 |
---|---|
Former Name | ALYSSA PAIGE COLLICA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145095) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT111936) |
106H00000X Marriage & Family Therapist (Licence: ID LAMFT-8456) | |
Enumeration Date | 2019-05-03 |
Last Update Date | 2024-02-19 |