| NPI | 1104231612 |
|---|---|
| Former Name | ALEXA WORTHINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929799) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009923130) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2024-10-03 |