NPI | 1780054320 |
---|---|
Former Name | FRANCESCA WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.022174) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 35000) |
Enumeration Date | 2015-09-25 |
Last Update Date | 2020-10-06 |