NPI | 1972027381 |
---|---|
Former Name | LEXI NICOLE MOLLOY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW109599) |
Additional Taxonomies | 101Y00000X Counselor |
1041C0700X Social Worker, Clinical (Licence: CA ASW84235) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-07-27 |
Last Update Date | 2022-08-15 |