| 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 |