NPI | 1811489966 |
---|---|
Former Name | ALYSSA BISCHMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY11363) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11046) |
Enumeration Date | 2018-06-05 |
Last Update Date | 2022-03-15 |