NPI | 1942565569 |
---|---|
Former Name | STACEY WRIGHT-WOOLCOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088009-01) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 086023) |
Enumeration Date | 2012-07-10 |
Last Update Date | 2023-08-28 |