| NPI | 1952833147 |
|---|---|
| Former Name | ALEXIS NICOLE GRENNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113859) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2019-06-17 |