NPI | 1265678338 |
---|---|
Professional Name | LESLIE BARBARA BOLT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6351004229) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MI 6301012799) |
Enumeration Date | 2008-12-19 |
Last Update Date | 2021-07-23 |