NPI | 1598880320 |
---|---|
Former Name | ALEXIS MICHAEL BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005217A) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 379250-3501) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2008-04-28 |