| NPI | 1740814383 |
|---|---|
| Other Name | KATHERYN JEAN WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-02-22 |
| Last Update Date | 2020-10-07 |