NPI | 1619402757 |
---|---|
Former Name | ALEXIS LOWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001462) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202927) |
106H00000X Marriage & Family Therapist (Licence: CA 96550) | |
Enumeration Date | 2017-04-26 |
Last Update Date | 2022-03-29 |