| NPI | 1306140298 |
|---|---|
| Former Name | GABRIELLE ADELE LESLIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 12-09-620) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: OR 19-QMNPC-00730) | |
| 101YP1600X Counselor, Pastoral (Licence: CA M.A.T.S.) | |
| 103K00000X Behavior Analyst (Licence: OR 819261) | |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2022-03-26 |