| NPI | 1083744742 |
|---|---|
| Former Name | LESLIE DANIELLE WILLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09990) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NM B04834) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2018-07-24 |