| NPI | 1528374907 |
|---|---|
| Former Name | NANCY JEAN WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117431) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-07172) |
| 104100000X Social Worker (Licence: NY 081889-1) | |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2024-11-01 |