| NPI | 1164474219 |
|---|---|
| Former Name | JUDITH ELLEN LEERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 071780) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 115291) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2010-10-29 |