NPI | 1437604261 |
---|---|
Professional Name | ALEXANDRA R IVERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 4772) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CO 4535) |
Enumeration Date | 2016-08-22 |
Last Update Date | 2021-01-11 |