| NPI | 1508088998 |
|---|---|
| Former Name | DEBRA LYNNELLE LEACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OK 4555) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-06-08 |