NPI | 1073992269 |
---|---|
Former Name | ALEXANDRA ECHELMEIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2016042776) |
Additional Taxonomies | 104100000X Social Worker (Licence: MO 2014009409) |
104100000X Social Worker (Licence: KS 8896) | |
Enumeration Date | 2015-05-21 |
Last Update Date | 2024-08-07 |