| NPI | 1285756544 |
|---|---|
| Former Name | LESLIE JEAN BOHRER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2082) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 1193) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2007-07-08 |