| NPI | 1437502424 |
|---|---|
| Former Name | CHARLA LILLIAN LEONARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC011828) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2019-11-13 |