| NPI | 1417274770 |
|---|---|
| Former Name | LANA KAY WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2008032302) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 3645) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2016-05-11 |