| NPI | 1063052298 |
|---|---|
| Former Name | LEANNE DEISTER-GOODWIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178017418) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180016270) |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2024-08-23 |