NPI | 1316957087 |
---|---|
Professional Name | DIANE WOODRUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WV 20046) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: WV 20046) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2023-09-21 |