| NPI | 1861533200 |
|---|---|
| Other Name | JAMIE LEAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 961) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 6) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |