| NPI | 1528374907 |
|---|---|
| Former Name | NANCY JEAN WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 081889-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-07172) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2011-04-19 |