| NPI | 1861905184 |
|---|---|
| Former Name | ALESSIA ALTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95299654) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 108126) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2025-01-14 |