| NPI | 1992340103 |
|---|---|
| Former Name | ALYSSA ASHLEY ROSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 100213) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2025-07-01 |