| NPI | 1841737673 |
|---|---|
| Professional Name | DOC WILSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW91441) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW75482) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2024-08-08 |