| NPI | 1467545905 |
|---|---|
| Former Name | SANDRA KAY LEACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923140) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1397) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-09-15 |