| NPI | 1619264843 |
|---|---|
| Former Name | ALEXIS LUTTRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 085068-1) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2018-10-25 |