NPI | 1710502463 |
---|---|
Former Name | ALEXANDRA BLITZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: LA 7560) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 7560) |
Enumeration Date | 2020-06-09 |
Last Update Date | 2024-04-17 |