NPI | 1558914697 |
---|---|
Former Name | NEMETRIA WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: TN 3814) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2019-07-18 |
Last Update Date | 2024-03-26 |