NPI | 1417615014 |
---|---|
Former Name | LESLIE D ROCHA-ROMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61623043) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA SC61276498) |
Enumeration Date | 2021-12-01 |
Last Update Date | 2025-10-10 |