NPI | 1083199186 |
---|---|
Former Name | ALEXIS KIEFFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.027486) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1800534-TRNE) |
104100000X Social Worker (Licence: OH S.1803056) | |
104100000X Social Worker (Licence: IL 150.109325) | |
Enumeration Date | 2018-09-25 |
Last Update Date | 2024-08-27 |