NPI | 1205952231 |
---|---|
Former Name | SHAW WENDI WOODS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 66108) |
Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: GA 66108) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 66108) | |
Enumeration Date | 2007-03-21 |
Last Update Date | 2014-08-18 |