| NPI | 1699536847 |
|---|---|
| Former Name | TAYLOR COLETTE LEEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-02-06 |