NPI | 1225609878 |
---|---|
Former Name | ALEXA BERNHARDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW024815) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-07-06 |
Last Update Date | 2024-06-18 |