| NPI | 1548493141 |
|---|---|
| Former Name | LINDSAY NICOLE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1204) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: UT 55566403502) | |
| Enumeration Date | 2009-08-29 |
| Last Update Date | 2023-11-27 |