NPI | 1104495787 |
---|---|
Former Name | ALEXIS LEE FLOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127874) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-06-18 |
Last Update Date | 2021-09-15 |