| NPI | 1558458166 |
|---|---|
| Other Name | TWYLA JOANNE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC C000749) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C000749) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2022-11-28 |