| NPI | 1831255181 |
|---|---|
| Former Name | ELEANOR WILCOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3377-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 473-132) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2013-01-17 |