| NPI | 1013408137 |
|---|---|
| Former Name | MARA ELIZABETH WOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AR 17-24P) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AR 17-24P) |
| 103TS0200X Psychologist, School (Licence: AR 17-24P) | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2024-01-09 |