NPI | 1962387050 |
---|---|
Former Name | ALEXIS SAMANTHA VEGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA APCC20222) |
Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
Enumeration Date | 2025-08-07 |
Last Update Date | 2025-09-19 |