| NPI | 1285042580 |
|---|---|
| Former Name | MARIE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2023-04-11 |