NPI | 1992841654 |
---|---|
Former Name | LESLI ANNETTE ELKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: AR 11-11EI) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 2290-C) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2022-11-18 |