| NPI | 1194305318 |
|---|---|
| Former Name | ALEXA V PETERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 2004) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 780-228) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2023-11-30 |