| NPI | 1336530716 |
|---|---|
| Former Name | BETHANY WOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 8073) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4768) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2021-07-12 |