NPI | 1164024907 |
---|---|
Former Name | SHAQUANUS DAILEY WOODS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW009219) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: GA CSW009219) |
Enumeration Date | 2020-11-16 |
Last Update Date | 2025-08-19 |