NPI | 1003486812 |
---|---|
Former Name | ALEXANDRA ISABEL JACOBOWITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW61486454) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2021-06-25 |
Last Update Date | 2024-05-27 |