| NPI | 1609306950 | 
|---|---|
| Former Name | TARINA J WOOD | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801114314)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-13410)  | 
| 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-13410)  | |
| Enumeration Date | 2017-06-19 | 
| Last Update Date | 2022-05-04 |