| NPI | 1285990754 |
|---|---|
| Former Name | TAYLOR D WIGINTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0012615) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0000526) | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2024-05-17 |