| NPI | 1861002750 |
|---|---|
| Former Name | ALYSSA PAIGE FOLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC6652) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |