| NPI | 1104435452 |
|---|---|
| Former Name | ALEXIS WHALEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710103341) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0732006478) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0733003286) | |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2025-01-22 |