| NPI | 1518662790 |
|---|---|
| Former Name | LEAH LYNN BOLYARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-05 |