| NPI | 1972784163 |
|---|---|
| Former Name | ANNAS LEE LEFORT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4232) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 6518) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 262) | |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2017-03-31 |