NPI | 1720519564 |
---|---|
Former Name | ALEXIS MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.00002587) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist (Licence: CO 0014133) | |
Enumeration Date | 2017-03-23 |
Last Update Date | 2024-04-26 |