| NPI | 1083164859 |
|---|---|
| Former Name | ALEXIS SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: LA PLC7434) | |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2020-01-31 |