| NPI | 1720367980 |
|---|---|
| Former Name | NICHOLE L WOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 7011) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OK 1058) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2017-10-19 |