| NPI | 1699210930 |
|---|---|
| Doing Business As | SKYE WILSON, PH.D. |
| Entity Type | Organization |
| Authorized Contact | SKYE WILSON Owner 917-716-8925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |