| NPI | 1811543994 |
|---|---|
| Former Name | SADIE J WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-42939) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 9334417-3502) |
| 1041C0700X Social Worker, Clinical (Licence: ID LMSW-38949) | |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2023-07-09 |