| NPI | 1932711397 |
|---|---|
| Former Name | RILEE DIANE WOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12894300-3501) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2024-09-30 |