NPI | 1639148430 |
---|---|
Former Name | JODY L WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN LSW0000004599) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TN LDC0000000268) |
Enumeration Date | 2006-03-15 |
Last Update Date | 2009-10-23 |