NPI | 1457539306 |
---|---|
Former Name | LEAH HENRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 20112) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF87843) |
Enumeration Date | 2008-02-02 |
Last Update Date | 2024-12-09 |