NPI | 1861528176 |
---|---|
Former Name | DUSTINA OMA WOODS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 82175) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2007-02-23 |
Last Update Date | 2022-05-12 |