NPI | 1801102488 |
---|---|
Former Name | LEAH M GRANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC LMFT 1592) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 85000023A) |
106H00000X Marriage & Family Therapist (Licence: IL 208.000162) | |
106H00000X Marriage & Family Therapist (Licence: IL 166000905) | |
Enumeration Date | 2010-08-20 |
Last Update Date | 2022-02-14 |