NPI | 1851839112 |
---|---|
Other Name | MARY JO WILKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1155097) |
163W00000X Registered Nurse (Licence: MA RN2270321) | |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2270321) | |
Enumeration Date | 2017-02-07 |
Last Update Date | 2025-04-23 |