| NPI | 1386426252 |
|---|---|
| Other Name | MONIQUE B. WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR T-23-3143) |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |