| NPI | 1144230871 |
|---|---|
| Other Name | BONNIE SUE WOODGEARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166000451) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WV 1 provisional) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-05-24 |