| NPI | 1598338717 |
|---|---|
| Former Name | ASIA ALEXANDRA MCINTYRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 4784) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN 4784) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN 1377) | |
| Enumeration Date | 2021-07-24 |
| Last Update Date | 2022-06-14 |