NPI | 1790955458 |
---|---|
Former Name | JOYCE VIRGINIA WOFFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 5471) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 007175) |
Enumeration Date | 2008-03-08 |
Last Update Date | 2018-03-17 |