| NPI | 1063058485 |
|---|---|
| Former Name | SYDNEY LEIGH LYTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014428) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014134) |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2022-09-15 |