| NPI | 1902271521 |
|---|---|
| Former Name | ALICIA MARIE SWALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SD 586) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN 5946) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2025-05-27 |