NPI | 1952454415 |
---|---|
Former Name | LORI J WOODFORK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 003378-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R055161-1) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2020-11-04 |