NPI | 1780195305 |
---|---|
Other Name | LEANNDRA FAIRCHILD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 130966) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 10154-C) |
Enumeration Date | 2017-10-23 |
Last Update Date | 2025-07-08 |