| NPI | 1043661911 |
|---|---|
| Former Name | LESLIE FERRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007399A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 34007399A) |
| 1041C0700X Social Worker, Clinical (Licence: TX 59006) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2021-03-05 |