| NPI | 1740701697 |
|---|---|
| Former Name | LESLIE LAURA GLEASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC9457) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 6440) |
| 101YM0800X Counselor, Mental Health (Licence: MO 2017022256) | |
| 101YP2500X Counselor, Professional (Licence: KS 3244) | |
| 101YP2500X Counselor, Professional (Licence: MO 2017022256) | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2025-08-08 |