| NPI | 1932663523 |
|---|---|
| Former Name | WUSTHANIA FONDOIT ALEXANDRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW22823) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2024-08-02 |