| NPI | 1801066121 |
|---|---|
| Former Name | BARBIE LATONYA WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007069) |
| Additional Taxonomies | 251S00000X (Licence: VA 0904007069) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2016-06-02 |