NPI | 1235855248 |
---|---|
Other Name | SAM WOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA 110667) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 110667) |
Enumeration Date | 2022-10-12 |
Last Update Date | 2022-10-18 |