| NPI | 1053923458 |
|---|---|
| Former Name | LESTINA LEONA SAUL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1363) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2021-11-30 |