NPI | 1164687000 |
---|---|
Former Name | LESLIE CATHERINE FISHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 75462) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2004037087) |
Enumeration Date | 2008-07-21 |
Last Update Date | 2025-05-22 |