NPI | 1710386594 |
---|---|
Former Name | ALEXANDRA MILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115159) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF88160) |
Enumeration Date | 2014-08-18 |
Last Update Date | 2024-04-23 |