| NPI | 1134381866 |
|---|---|
| Former Name | ALEXIS BURROUGHS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0052135) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 000428) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2019-04-23 |