| NPI | 1851191464 |
|---|---|
| Former Name | ALYSA MARI GARRIOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 33011218A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34011853A) |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-05-27 |