| NPI | 1578102802 |
|---|---|
| Former Name | ALEXIS MAUDE SORENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 12319990-3902) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2023-03-29 |