| NPI | 1043862493 |
|---|---|
| Former Name | ANNE CATHRYN WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.08042) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2022-05-24 |