| NPI | 1922519701 |
|---|---|
| Former Name | ALEXANDRA MONIQUE BRAVO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: CA 96620) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 66775) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2021-04-13 |