| NPI | 1992156871 |
|---|---|
| Former Name | LESLIE JUDKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17111) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1003) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2021-04-15 |