| NPI | 1912297565 |
|---|---|
| Former Name | GINA RENAE ALEX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8111) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: NC 8111) | |
| Enumeration Date | 2011-04-17 |
| Last Update Date | 2017-11-20 |