| 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 | 2021-04-09 |