NPI | 1558825752 |
---|---|
Other Name | JACKIE LEEDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW127214) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW103244) |
104100000X Social Worker (Licence: CA ASW103244) | |
171M00000X Case Manager/Care Coordinator | |
225400000X Rehabilitation Practitioner | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-01-22 |
Last Update Date | 2024-11-25 |