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 |