NPI | 1255959508 |
---|---|
Professional Name | XANDER DANIEL FAISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC6684) |
Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2020-07-13 |
Last Update Date | 2024-07-22 |