| NPI | 1275710667 |
|---|---|
| Other Name | KENYATTA WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA LPC007401) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA LPC007401) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2021-12-29 |