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 |