| NPI | 1457712127 |
|---|---|
| Former Name | LESLIE LESSARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 4716) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 4264) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2019-10-21 |