| NPI | 1295705242 |
|---|---|
| Former Name | JAMIE WOODY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001680A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IN 39001680A) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 39001680A) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2017-07-17 |