NPI | 1992162713 |
---|---|
Former Name | JULIA WOODSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.020078) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 7435) |
1041C0700X Social Worker, Clinical (Licence: IL 150.101617) | |
Enumeration Date | 2016-01-25 |
Last Update Date | 2023-09-14 |