NPI | 1871976191 |
---|---|
Former Name | ALEXANDRIA ROSENAST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6050) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-07-06 |
Last Update Date | 2024-11-21 |