| NPI | 1295182871 |
|---|---|
| Former Name | KARRIE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 135661) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16376) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2026-07-09 |