NPI | 1558955286 |
---|---|
Former Name | MAGGIE WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2405137) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S2106264) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S.2001277-TRNE) | |
Enumeration Date | 2021-02-23 |
Last Update Date | 2024-02-27 |