| NPI | 1720152598 |
|---|---|
| Former Name | BETTY LOIS GOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC301816) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 05370) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904003159) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2012-01-30 |