| NPI | 1558825752 |
|---|---|
| Other Name | JACKIE LEEDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 127214) |
| 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 | 2024-11-18 |