| NPI | 1699181776 |
|---|---|
| Former Name | LEAH RACHELLE BACA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK LPC07743) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2024-08-29 |