NPI | 1538118864 |
---|---|
Former Name | DAWN M. LEACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: 0619) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 0619) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2011-12-23 |