| NPI | 1881037042 |
|---|---|
| Former Name | LESLIE WHALEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.014623) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801116320) |
| 1041C0700X Social Worker Clinical (Licence: CO CSW.09924655) | |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2023-08-10 |