| NPI | 1992074397 |
|---|---|
| Former Name | ALEXIS AQUINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2016-05-23 |