NPI | 1891348439 |
---|---|
Former Name | LEIGHA M FIEBELKORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9711-123) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 131285-121) |
Enumeration Date | 2019-07-23 |
Last Update Date | 2024-10-02 |