| NPI | 1790241875 |
|---|---|
| Former Name | ALEXIS FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2023-06-07 |