NPI | 1427264100 |
---|---|
Former Name | KAREN PERRY WILSON-PLAZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 4821) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MA LMHC4821) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2018-03-17 |