| NPI | 1376270942 |
|---|---|
| Former Name | ALEXIS RAE BRADBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2022-08-04 |