NPI | 1417666181 |
---|---|
Former Name | LESLIE S. LESANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103T00000X Psychologist (Licence: NC PA6178) |
Enumeration Date | 2022-11-21 |
Last Update Date | 2023-11-20 |