NPI | 1306129960 |
---|---|
Former Name | ALEXIS CATHERINE AMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018969) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-09-21 |
Last Update Date | 2017-01-04 |