| NPI | 1760648679 |
|---|---|
| Former Name | KITTY WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 2113-M) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 51031) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2025-02-04 |