| NPI | 1760966030 |
|---|---|
| Former Name | LEAH JO ROYSETH |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN cc04656) |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2025-01-21 |