| NPI | 1700540432 |
|---|---|
| Former Name | ELLEN WILISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 1162-10-15-21-446) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172A00000X Driver | |
| 174400000X Specialist | |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2022-09-12 |