| NPI | 1366827222 |
|---|---|
| Former Name | DEBORAH MARIE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2023-01-30 |