| NPI | 1669735957 |
|---|---|
| Former Name | MARY ANN WOODWARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC006148) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD002780) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |