| NPI | 1851289912 |
|---|---|
| Former Name | ALYSSA NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 6930) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 34845) |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-06-26 |