NPI | 1073780631 |
---|---|
Professional Name | SUSAN B WILKIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LA MFT299LA) |
Additional Taxonomies | 101Y00000X Counselor (Licence: LA LPC1821LA) |
101Y00000X Counselor (Licence: NC 5463NC) | |
Enumeration Date | 2008-05-13 |
Last Update Date | 2008-05-13 |