| NPI | 1881321099 |
|---|---|
| Former Name | LESLIE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2024040494) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 8095) |
| Enumeration Date | 2022-08-07 |
| Last Update Date | 2024-10-16 |