NPI | 1154477024 |
---|---|
Professional Name | LEANNE BLACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924182) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY 465) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2022-02-07 |