| NPI | 1134764228 |
|---|---|
| Former Name | DESIREE D DAVIS-LESLIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801086604) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2023-07-07 |