NPI | 1144603341 |
---|---|
Former Name | ROSE M WOODSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ACSW84460) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA ACSW84460) |
Enumeration Date | 2015-07-07 |
Last Update Date | 2024-03-18 |