NPI | 1861805160 |
---|---|
Former Name | ALEXANDRA HOSPODAROVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 92273) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 92273) |
Enumeration Date | 2014-06-04 |
Last Update Date | 2023-01-18 |