NPI | 1013354075 |
---|---|
Former Name | ALEXANDRA E SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009111) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2013-05-31 |
Last Update Date | 2016-10-10 |