NPI | 1285101238 |
---|---|
Former Name | ALEXIS PURCELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2018037625) |
Enumeration Date | 2018-10-29 |
Last Update Date | 2024-07-10 |