| NPI | 1255864583 |
|---|---|
| Professional Name | GWEN WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60963777) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60672915) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2024-01-01 |