| NPI | 1144748591 |
|---|---|
| Former Name | ALEXANDRA NICOLE SEPULVEDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW102407) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW65703) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-07-26 |