| NPI | 1053558304 |
|---|---|
| Other Name | LESLEE THROCKMORTON-BELZER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MO 2016016296) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA 20792) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2016-06-03 |