NPI | 1609088152 |
---|---|
Other Name | DEREK LEIGHTON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 61793) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 200969) |
Enumeration Date | 2007-05-05 |
Last Update Date | 2024-09-14 |