| NPI | 1750724324 |
|---|---|
| Former Name | WANDA RENFROW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical (Licence: NC P006527) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2021-06-23 |