NPI | 1528300159 |
---|---|
Former Name | LINDSAY ERIN LEADBETTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 38929) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 10413208) |
101YP2500X Counselor, Professional (Licence: WA MHC.LH.60725489) | |
Enumeration Date | 2013-03-21 |
Last Update Date | 2020-03-30 |