NPI | 1104114198 |
---|---|
Former Name | LESLIE JOHNSON HUGHES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008165) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 1234) |
Enumeration Date | 2011-07-12 |
Last Update Date | 2024-11-18 |