NPI | 1457966400 |
---|---|
Former Name | ALEXANDRA KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH s2308718) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH s2001429-trne) |
Enumeration Date | 2020-09-15 |
Last Update Date | 2023-05-09 |