NPI | 1609948595 |
---|---|
Former Name | LEAH CHRISTINE WITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10371) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 9143) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2023-05-26 |