| NPI | 1497187298 |
|---|---|
| Former Name | LEAH MICHELLE VAN GRINSVEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3288) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 10009) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2022-02-02 |