| NPI | 1558992057 |
|---|---|
| Professional Name | STEPHANIE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 38674) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2025-03-24 |