NPI | 1225055148 |
---|---|
Former Name | ALEXANDRA ELIZABETH YEVDAKIMOV |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 44469) |
Enumeration Date | 2006-07-16 |
Last Update Date | 2020-09-10 |