| NPI | 1598459901 |
|---|---|
| Former Name | NICOLE LEITER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-9532) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2025-09-02 |