NPI | 1619199643 |
---|---|
Former Name | MEGHAM G WOOLLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-797) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-27764) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2012-10-19 |