NPI | 1700897329 |
---|---|
Former Name | AIMEE GEORGINA WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 13460) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 004677) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2007-09-20 |