| NPI | 1124517297 |
|---|---|
| Former Name | ALEXANDRA DANIELLE BAZELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.167139) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: QMHS) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2023-07-20 |