| NPI | 1407328222 |
|---|---|
| Former Name | TAYLOR LEIGH WIXOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61087409) |
| Additional Taxonomies | 101Y00000X Counselor |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG60797438) | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2024-09-03 |