| NPI | 1447744941 |
|---|---|
| Former Name | MERCEDES TIA WILKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013397) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012523) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2022-04-25 |