NPI | 1891233144 |
---|---|
Former Name | ALEXIS SKELLEY ELLIOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 122232) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C009475) |
174H00000X Health Educator | |
Enumeration Date | 2017-02-07 |
Last Update Date | 2020-12-28 |