| NPI | 1003218538 |
|---|---|
| Former Name | JENNIFER L LEONARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK PCOP880) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AK PCOP880) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2023-12-01 |