| NPI | 1003026162 |
|---|---|
| Former Name | CHERYL ANNE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 22053) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI 980) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY5392) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2012-01-14 |