NPI | 1134564446 |
---|---|
Other Name | DEBRA MARIE WILSON-CASE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL LMHC 11704) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP5208) |
Enumeration Date | 2013-05-01 |
Last Update Date | 2017-12-20 |