| NPI | 1346903077 |
|---|---|
| Former Name | SANDRA WILBANKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 122530) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 122530) |
| 1041C0700X Social Worker, Clinical (Licence: CA 102307) | |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2024-07-19 |