| NPI | 1144518655 |
|---|---|
| Former Name | AMBER LYNN WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR A3542) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2014-02-25 |