| NPI | 1538873351 |
|---|---|
| Former Name | LEAH MARIE PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95025265) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 67975) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10009803) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 863807) | |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2025-06-04 |