| NPI | 1740701697 |
|---|---|
| Former Name | LESLIE L GLEASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2017022256) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 3244) |
| 101YP2500X Counselor, Professional (Licence: MO 2017022256) | |
| 101Y00000X Counselor (Licence: CA 6440) | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2023-12-08 |