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 |