| NPI | 1255601621 |
|---|---|
| Former Name | LESLEY ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2023-08-03 |