| NPI | 1669081311 |
|---|---|
| Professional Name | KATIE LEAVITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LPC-8189) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2024-08-08 |