NPI | 1861829335 |
---|---|
Former Name | DANELL LEIGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10417) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A10417) |
Enumeration Date | 2013-09-30 |
Last Update Date | 2016-09-26 |