NPI | 1467107144 |
---|---|
Former Name | ALEXANDRA MICHELLE SLAUGHTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY34518) |
Additional Taxonomies | 103T00000X Psychologist (Licence: TX 38429) |
Enumeration Date | 2022-02-21 |
Last Update Date | 2023-11-29 |