| NPI | 1053094300 |
|---|---|
| Former Name | ALEXANDRA MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW21064) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LCSW8061) |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-08-11 |