NPI | 1801199500 |
---|---|
Former Name | SHARRY LEE WOODS-HAYNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007082) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904015694) |
Enumeration Date | 2010-12-19 |
Last Update Date | 2024-04-15 |