| NPI | 1578837274 |
|---|---|
| Former Name | BLAIR GARNETT WILSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 109476) |
| Additional Taxonomies | 101Y00000X Counselor |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2022-07-27 |