| NPI | 1306597158 |
|---|---|
| Former Name | AUDREY LYNN LEIGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-30781) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC CADC-30976) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2025-04-22 |