NPI | 1215348693 |
---|---|
Former Name | REBEKAH ALEXANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 72496) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW72496) |
Enumeration Date | 2014-05-19 |
Last Update Date | 2023-03-28 |