| NPI | 1750836110 |
|---|---|
| Former Name | LEANN AXLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2019-09-19 |