| NPI | 1952494593 |
|---|---|
| Other Name | LESLEY SHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AZ 4586) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: CA PSY20454) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-06-14 |