NPI | 1396107967 |
---|---|
Former Name | ALEXANDRA WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60985879) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60645678) |
Enumeration Date | 2016-03-23 |
Last Update Date | 2021-06-14 |