NPI | 1275014532 |
---|---|
Former Name | LESLEY JOANNE FRASER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P019922) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2018-08-24 |
Last Update Date | 2024-03-15 |