| NPI | 1023799509 |
|---|---|
| Former Name | LESLIE RHUDY, MCDANIEL, MOORE, FAIRFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM SWB20220948) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-27 |