NPI | 1487365748 |
---|---|
Former Name | REBECCA WOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22999) |
Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-19084) |
Enumeration Date | 2022-12-07 |
Last Update Date | 2025-06-19 |