| NPI | 1821015272 |
|---|---|
| Former Name | LESLIE L HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 3371125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3371125) |
| 101YP2500X Counselor, Professional (Licence: IL 178002799) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-07-08 |