| NPI | 1699163030 |
|---|---|
| Former Name | CHARLENA JAYNE MCALEXANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149020063) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO 989174) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2020-05-21 |