NPI | 1154631802 |
---|---|
Former Name | ALEXANDRA MOY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 86523) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 86523) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2010-10-15 |
Last Update Date | 2018-12-21 |