NPI | 1144510678 |
---|---|
Former Name | ARLETHER WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 78471) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12089) |
Enumeration Date | 2011-04-18 |
Last Update Date | 2020-09-10 |