| NPI | 1053477653 |
|---|---|
| Former Name | MARY JANE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2025-05-15 |