| NPI | 1356747943 |
|---|---|
| Former Name | CHYENNE MARIE LEACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2023-04-27 |