| NPI | 1083379200 |
|---|---|
| Former Name | WENDY GROAT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 7505) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 12285) |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2021-11-02 |