NPI | 1770678088 |
---|---|
Former Name | LESLEY S HOUSSIERE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 1049) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 68971) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2007-07-08 |