NPI | 1710442470 |
---|---|
Former Name | ALEXIS LAREINE BRUNO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 93233) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-02-07 |
Last Update Date | 2023-05-12 |