NPI | 1508224130 |
---|---|
Former Name | ALEXANDRA DOKAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 284012) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1200192-SUPV) |
101YM0800X Counselor, Mental Health (Licence: OH E.1200192) | |
Enumeration Date | 2016-02-10 |
Last Update Date | 2024-10-28 |