| NPI | 1518250950 |
|---|---|
| Former Name | ALEXIS M LIEBENTHAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1303111) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-14-17072) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2022-05-05 |