| NPI | 1063071124 |
|---|---|
| Former Name | LISA MARIE LEEK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC60975670) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2020-04-07 |