| NPI | 1891348439 |
|---|---|
| Former Name | LEIGHA M FIEBELKORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9711) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 131285-121) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2023-01-10 |