NPI | 1639586316 |
---|---|
Other Name | ALEXIS MABLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 11913) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: CO 121510) |
Enumeration Date | 2014-07-15 |
Last Update Date | 2016-01-05 |