| NPI | 1720281959 |
|---|---|
| Former Name | CAROLYN JANET WILKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 3069) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-08 |