| NPI | 1487197877 |
|---|---|
| Former Name | JEAN WOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009711) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924544) |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2019-04-03 |