NPI | 1578814927 |
---|---|
Former Name | ALEXANDRA L HERMENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60723605) |
Additional Taxonomies | 101Y00000X Counselor |
106H00000X Marriage & Family Therapist (Licence: WA LH60723605) | |
Enumeration Date | 2012-09-25 |
Last Update Date | 2018-11-29 |