| NPI | 1720486137 |
|---|---|
| Former Name | TAHANI ALEXIS AL-SALEM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 61168844) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 255574) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2023-05-08 |