| NPI | 1902113624 |
|---|---|
| Former Name | SHARLENE M WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06274) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005524) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |