| NPI | 1184342495 |
|---|---|
| Other Name | LIN WILDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0003682) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WA MX61344486) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-24 |