| NPI | 1245734839 |
|---|---|
| Former Name | NATASHA NICOLE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OK 7517) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OK BACB1280718) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2025-03-21 |